[Parenteral nutrition in polytrauma - comparison between a fat-free and a fat-containing nutritional regime].
Two groups of patients with multiple injuries were treated with high-caloric parenteral nutrition over a period of 10 days. One group received amino acids (1 g/kg BW/day) and dextrose (2.0 x resting metabolic rate calories). In the other group dextrose was partially substituted by an isocaloric amount of lipids (2 g/kg BW/day). As for blood and serum glucose, pyruvate, lactate, triglycerides, cholesterol, phosphatides, free fatty acids, glycerol, acetoacetate and beta-hydroxybutyrate there were no significant differences between the two groups. Nevertheless, in the lipid group more balanced blood-sugar levels were seen with smaller amounts of insulin to be needed. This suggests a beneficial effect on the carbohydrate metabolism.
D000293:Adolescent; D000328:Adult; D000596:Amino Acids / Q000008:administration & dosage; D001786:Blood Glucose / Q000378:metabolism; D004040:Dietary Carbohydrates / Q000008:administration & dosage; D004041:Dietary Fats / Q000008:administration & dosage*; D004573:Electrolytes / Q000008:administration & dosage; D005230:Fatty Acids, Nonesterified / Q000097:blood; D005950:Glucose Solution, Hypertonic; D006801:Humans; D007773:Lactates / Q000097:blood; D008055:Lipids / Q000097:blood; D008297:Male; D008875:Middle Aged; D010288:Parenteral Nutrition; D010289:Parenteral Nutrition, Total; D011773:Pyruvates / Q000097:blood; D012709:Serum Albumin / Q000008:administration & dosage; D014947:Wounds and Injuries / Q000628:therapy*
D000596:Amino Acids; D001786:Blood Glucose; D004040:Dietary Carbohydrates; D004041:Dietary Fats; D004573:Electrolytes; D005230:Fatty Acids, Nonesterified; D005950:Glucose Solution, Hypertonic; D007773:Lactates; D008055:Lipids; D011773:Pyruvates; D012709:Serum Albumin
Parenterale Ernährung bei Polytrauma -- Vergleich zwischen einem fettfreien und einem fetthaltigen Ernährungsregime.